Provider Demographics
NPI:1053810937
Name:HAPPY MOMENTS ADHC
Entity type:Organization
Organization Name:HAPPY MOMENTS ADHC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:NARBEH
Authorized Official - Middle Name:
Authorized Official - Last Name:BABAIANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-731-4021
Mailing Address - Street 1:2929 WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90292-5546
Mailing Address - Country:US
Mailing Address - Phone:818-731-4021
Mailing Address - Fax:
Practice Address - Street 1:2929 WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:MARINA DEL REY
Practice Address - State:CA
Practice Address - Zip Code:90292-5546
Practice Address - Country:US
Practice Address - Phone:310-706-1374
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-07
Last Update Date:2023-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QA0600X
261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========OtherADULT DAY HEALTH CARE